Is there no limit to this doctor's skills?

Chapter 154 Skill Approaches the Dao!

The patient who came in was an internal medicine emergency.

There is no obvious history of trauma, and the patient is currently in a coma. In this emergency situation, the emergency internal medicine department must admit the patient first...

Therefore, Huang Jinmao finally left Guo Ziyuan.

Zheng Chongyue assigned Tan Wenyuan to accompany him at all times, in preparation for performing tracheotomy and intubation procedures at any time.

Zheng Chongyue respectfully accompanied Guo Ziyuan, acting as a rather noisy, boastful frog: "Dr. Guo, you're too awesome!"

"So young and already developed diabetic foot ulcers!"

"This is a treatment that so many professors and teams have dreamed of but never received?"

In hospitals, technical skills ultimately reign supreme.

In fact, this is the very essence of how the entire medical community operates.

Of course, this kind of technical skill is king, and it certainly doesn't mean that just because you can do an appendectomy, I can do it too!

But the incision I make for an appendectomy is 0.5cm smaller than yours; this technique is king.

That's the fundamental idea.

For example, in Yilan City, I can perform pelvic fractures that you cannot!

So, no matter how awesome you are, you still have to kneel down and endure it.

For example, in Hubei Province, the Provincial People's Hospital can perform surgery for large bone defects, but no one at Yichang Central Hospital can do it.

So, no matter how noble your status is, you still have to obediently bow your head to me.

For example, there are many professors at the Provincial People's Hospital, but the orthopedics department at Jishuitan Hospital can perform surgeries that professors at the Provincial People's Hospital would not dare to touch.

Okay, then you better sit up straight, don't daydream, and just listen attentively to the lesson!

For example, surgeries that can be performed in the United States, even those that require certain instruments.

If no one in China can do this, then shut your mouth and obediently import certain operating equipment...

Diabetic foot ulcers have long been a treatment wasteland in clinical practice.

Without anyone announcing that diabetic foot ulcers can be treated, Guo Ziyuan claims he can treat this disease. Even if an academician came, you'd better shut up.

There are so many patients with diabetic foot ulcers, why don't you take on patients and perform the surgery yourself?

In principle, as long as you are an associate chief physician or even an attending physician, you can admit ulcer patients.

"Director Zheng, I used a clever trick," Guo Ziyuan replied tactfully.

Zheng Chongyue was very understanding: "Whether we take shortcuts or not, you were the first to finish, so the treatment of this disease will definitely have to rely on you, Dr. Guo."

"This kind of thing!"

Zheng Chongyue's saliva was flowing rapidly, his mouth couldn't hold it all, and he could only swallow excitedly: "Even if it's stolen, as long as I can steal it first, that's a skill."

"It's really hard to imagine."

Although diabetic foot ulcers are not cancer, in the current medical field, many cancers are not "incurable"!

Diabetic foot ulcers are a form of cancer!

At that moment, Huang Jinmao smiled and said from afar, "Dr. Guo, the patient's scans are in. Could you please take a look?"

The patient's hospital number is 1511XXX.

Thank you.

Guo Ziyuan finally had a reason to escape Zheng Chongyue's indirect praise and entanglement, so he turned and went into the lounge.

The overhead lights in the lounge have clearly been replaced and are quite bright.

The computer for viewing the videos was always on.

Based on Huang Jinmao's hospital registration number, Guo Ziyuan entered it and found the CT scan and X-ray results.

The patient suddenly fell into a coma, with no clear history of external injury!

Therefore, heart-related issues should be considered first.

For example, arrhythmia, myocardial infarction, pulmonary infarction, etc.

Currently, both myocardial infarction and pulmonary infarction should be given priority for medical treatment.

Although it wasn't a CTA, Guo Ziyuan still located the area of ​​pulmonary infarction immediately.

Guo Ziyuan picked up the pager from his white coat: "Director Huang, we are currently considering a large pulmonary embolism on the right side and coronary artery obstruction in the precordial region."

"Okay, got it!" Huang Jinmao didn't hesitate while performing the rescue.

He deftly turned off the pager!

Guo Ziyuan continued to observe for a while, but did not find anything else amiss.

For pulmonary infarction and myocardial infarction, the treatment options are either emergency thrombolysis or interventional therapy.

This is now within the scope of cardiology services.

Guo Ziyuan will not be receiving cardiology treatment for the time being, and of course, he won't be adding any drama to his life.

This patient was able to be diagnosed with a coronary artery embolism in the precordial region using simple CT and X-rays, which saved the rescue team a lot of time.

……

As Guo Ziyuan and Zheng Chongyue left, Huang Jinmao was yelling, "Are the patient's family members here? Do they have any money?"

"This patient will most likely need ECMO!"

"The family members are outside. I'll go discuss it with them," said Li Wei from the internal medicine department.

"Hurry up!"

Huang Jinmao's problems are both realistic and frustrating.

ECMO is a good thing, a life-saving thing, but the cost of turning it on is too expensive.

If you're alive but broke, don't touch it; it's not a problem with Golden Pineapple.

……

Before Guo Ziyuan could think about it, Professor Ning Sanlong walked over, yawning.

Ning Sanlong is an associate professor at Peking Union Medical College Hospital, but his hairline is exceptionally thick, showing no signs of male pattern baldness!

He doesn't look like a skilled doctor.

However, neither Zheng Chongyue nor Guo Ziyuan judged people by their appearance. When Zheng Chongyue saw Ning Sanlong, he was also taken aback.

"Professor Ning, why haven't you gone back yet?"

Ning Sanlong was on duty with Cai Xiongxue yesterday, and according to the schedule, he should have gone home to rest.

Ning Sanlong was still yawning: "I'm quite curious that Dr. Guo will be going into the emergency room today."

"Of course I want to come and broaden my horizons... I'll skip the rest today..."

Ning Sanlong's voice was muffled: "My shift schedule doesn't need to be changed. I'm continuing to work today because I chose not to take a break."

Zheng Chongyue quickly nodded: "Thank you for your hard work, Professor Ning."

"Professor Ning, good morning." Guo Ziyuan also greeted Ning Sanlong politely.

Ning Sanlong looked at Zheng Chongyue: "Director Zheng, would it be convenient for you to send me your WeChat account for ordering breakfast?"

Ning Sanlong is basically on duty on the same day as Cai Xiongxue, so he doesn't usually have to arrange his own breakfast.

Zheng Chongyue replied without hesitation, "Professor Ning hasn't had breakfast yet?"

"That's perfect, I haven't eaten either. Let's eat together."

Although Zheng Chongyue's stomach was protesting, his mind suppressed it.

The adult world has long since moved beyond the stage where organs control the brain.

As Zheng Chongyue began sending voice orders, he said to Ning Sanlong, "Professor Ning, you're a little late."

"Just now, Dr. Guo saw a patient with diabetic foot ulcers out."

"The ulcer has healed."

Ning Sanlong had clearly just gotten up and was initially quite lazy, rubbing his hair with the five fingers of his right hand.

He took a full eight seconds to react when he heard Zheng Chongyue say that the jump was a bit too big.

For eight seconds, Ning Sanlong even forgot to blink.

After a moment of stunned silence, his eyes began to dart around, first fixing on Guo Ziyuan.

"Diabetes? Foot ulcers?"

"Healing".

"These words have been combined together?"

Ning Sanlong seemed to stammer, pausing between each word: "Guo Ziyuan, is Director Zheng joking with me?"

"Or perhaps, I'm not fully awake at all?"

Ning Sanlong may not be an endocrinologist, but he is at least an associate professor.

It would be ridiculous if an associate professor didn't even know about diabetic foot ulcers.

However?

When these words are put together, they still cause Ning Sanlong's theory to begin to go awry.

Because Ning Sanlong's existing theories cannot support this conclusion.

Theory is very important in medicine.

就比如说，2*9=18的根本原因在于定义了9+9=18！

Guo Ziyuan never expected that his first morning in the emergency room would be filled with the topic of diabetic foot ulcers.

"It was all a coincidence, Professor Ning." Guo Ziyuan couldn't lie.

Chen Qiangwei will come back to change her dressing, and other patients with diabetic foot ulcers will come in the future.

It's impossible for Guo Ziyuan to choose not to treat patients in order to "mingle with the world".

Ning Sanlong and the others will find out about all this sooner or later.

Ning Sanlong withdrew his right hand from rubbing his hair: "That was fucking a coincidence!"

"Could this really be a coincidence?"

Ning Sanlong stretched his neck, all his laziness disappearing.

Their gazes and expressions began to focus on Guo Ziyuan's expression: "Dr. Guo, if I remember correctly, you are a trauma surgeon."

"Yes!" Guo Ziyuan nodded.

"Professor Ning, I am a trauma surgeon. Diabetic foot ulcers are a combination of trauma and endocrine disorders in our department."

Ning Sanlong narrowed his eyes, his voice deepening: "So?"

"Whose headache is it—the head of our hospital's endocrinology department or the head of our hospital's trauma department?"

"Okay, whichever it is, someone will always have a headache."

Ning Sanlong started laughing: "There's a saying in our emergency room too: my mom doesn't let me hang out with perverts."

Ning Sanlong learned Guo Ziyuan's identity.

"Special Examination!"

"Special Recruitment!"

"Privileged students"!

Ning Sanlong hated the concept of privilege, but at this moment, he suddenly realized something.

There's a damn good reason why some people have privileges.

How old is Guo Ziyuan?

Twenty-six years old!

Logically, one should start university at eighteen. Following the 5+3+3 clinical medicine program, Guo Ziyuan is still pursuing his master's degree.

A master's degree holder has come up with a treatment plan for diabetic foot!

This is certainly not the Nobel Prize.

But it was considered the "Nobel Prize" of its time in endocrinology and trauma surgery!

It seems that jokes on the internet have been brought to life in reality.

"Really?" Ning Sanlong still couldn't believe it easily.

Guo Ziyuan still smiled and said, "It's just a coincidence."

Zheng Chongyue quickly mediated the conversation: "Professor Ning, breakfast is ready."

Ning Sanlong's face showed a slight struggle.

He was even a little angry, so angry that he wanted to laugh.

Or was it just a coincidence?

"Well, you might as well say that a good article is a gift from nature, a stroke of genius."

"In fact, scientific research is like writing beautiful articles; all research topics are predetermined."

"The charm of scientific research lies in the fact that sometimes, a stroke of genius can lead to unexpected results."

Ning Sanlong, a cultured, insightful, and profound doctor, said: "Dr. Guo, you're such a carefree doctor, it makes us all feel so at ease!"

Ning Sanlong looked on with envy, but he spoke in a way that Zheng Chongyue could hardly understand.

Guo Ziyuan said very formally, "Professor Ning, the teachers are still the best at teaching."

"The teachers have emphasized the importance of a solid foundation time and time again."

"That's what I believed."

How good is Guo Ziyuan's technique now?

Not very good; there aren't many proper surgical techniques available.

But it can't be considered bad either.

Guo Ziyuan's basic skills can be described as exceptional.

With the fundamental skills of many national champions at his disposal, he can make even renowned professors question their existence!

Moreover, it's the kind of fistfight where they directly clash with each other's internal strength.

There are no fancy moves, only the purest internal strength.

Avenue to Jane.

"Our teacher taught us, but we just had no idea how to get there."

Ning Sanlong quickly composed himself and then began to reason in reverse: "So, Guo Ziyuan, you have mastered the most basic skills and dissected the pathophysiology of diabetic foot ulcers."

"And then, during the disassembly process, they countered each move as it came?"

Ning Sanlong's skill level is very high.

The essence of medicine is actually a process of responding to and dealing with different situations.

Diagnosis is about analyzing each move as it comes.

Treatment is about countering the moves.

In principle, as long as you react quickly enough, even a patient with a ruptured heart can survive!

But this is only in theory.

The same applies to any specialized disease.

For example, diabetic foot ulcers present clinically as ulcers, but their pathophysiology involves necrosis caused by poor local blood circulation...

The standard treatment plan is the standard answer to any situation.

Before there is a standard answer, you can only rely on the most basic skills to deal with each move.

No matter how advanced the computing power of computers becomes, it can never replace the work of a mathematician.

It can never be replaced!

"Yes, that's right." Guo Ziyuan nodded.

Chatting with someone as knowledgeable as Professor Ning Sanlong is quite relaxing.

He has already given you the answer; all you need to do is play the supporting role perfectly.

Ning Sanlong turned and went to the lounge.

As she leaned against the door at the lounge entrance, the look she gave me was particularly resentful.

Unlike Zheng Chongyue and Huang Jinmao, Ning Sanlong knew which path Guo Ziyuan was on.

But this is a path he cannot take!

Therefore, he doesn't envy Guo Ziyuan, but he is jealous of Guo Ziyuan's unreasonable "genius"!

Guo Ziyuan treats diabetic foot ulcers using the simplest debridement technique.

Kuo Tzu-yuan uses the "staring method" to diagnose emergency patients!

There are no tricks, only power.

It is impossible to replicate.

Guo Ziyuan did not try to comfort Ning Sanlong, because he didn't know how.

Zheng Chongyue knew that Ning Sanlong hadn't eaten breakfast, so he naturally went to keep him company.

Ning Sanlong is a guest from afar; he's here to help the emergency department apply for provincial key specialty status, so we can't neglect him.

So he sat down and started chatting with Liu Lingli, who was still on duty in the control room.

Guo Ziyuan: "Liu Lingli, a graceful and beautiful lady, is the object of every gentleman's affections."

"Does Huang Zhuoan have that kind of power?"

Liu Lingli said that Huang Zhuoan was trying to curry favor with her.

Liu Lingli quickly replied, "That's true, but I've already clearly rejected him."

"Dr. Guo, I'm going to read a book now."

"See you later." Liu Lingli specifically told Guo Ziyuan about her idea of ​​going to study.

Liu Lingli thought that Guo Ziyuan was unaware that Liu Lingli had applied for the national postgraduate entrance examination in nursing in October.

In fact, Guo Ziyuan already knew.

Of course, this is Liu Lingli's own personal choice!

Guo Ziyuan did not reply to Liu Lingli's message; instead, he chose not to reply.

At that moment, a prompt appeared on the panel.

[The rapid and accurate diagnosis saved the patient a significant amount of time in the emergency treatment, preventing the patient's condition from worsening. The patient is now out of danger and out of danger. 18 skill points have been gained.]

Eighteen skill points are not a lot compared to the tens or hundreds that can save a life.

However, Guo Ziyuan's diagnosis was not crucial; it did not correct the patient's misdiagnosis or prevent incorrect resuscitation.

The diagnosis of this patient was not difficult; even radiologists could see it. It was just that Guo Ziyuan accelerated the diagnosis.

Of course, 18 skill points are not a small amount!

At this stage, leaving the control room and relying on the most basic skill point collection won't affect your growth rate.

If Guo Ziyuan were still in the control room!

Huang Jinmao and others wouldn't require Guo Ziyuan to watch this kind of film immediately.

Even if Guo Ziyuan saw it, he wouldn't repay it in full.

At most, it will only give a message saying that there is also a blockage in the coronary artery.

Diagnosing it is not difficult.